Guidelines, Codes, and Regulations
Research involving human subjects is increasingly global in scope. This research is governed by over 1,000 guidelines, codes, and regulations spanning 130 countries. While there have been some attempts to construct international codes of conduct, particularly in the area of biomedical research, the reality is that these universal codes are superimposed over national and institutional norms, resulting in idiosyncrasies and discrepancies. Even within the United States as a single example, human subjects research is subject to a “patchwork quilt” of regulation, depending on the nature of the research and the source of funding. This chapter will provide an overview of these governing standards, recounting their historical evolution, discussing their key elements, and describing the challenges faced by researchers, sponsors, and regulatory bodies who must navigate this landscape.